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425-259-2794 � �5:41a.m. 09-23-2015 2/2 <br /> ELECTRICAL PERMIT APPLlCATION <br /> C1TY OF EVERETT PERMfT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-88'f 0 - FAX 425-257-8857—www.everettwa.org <br /> 2916 STATE ST <br /> PROJECT ADDRESS <br /> WES CONSTRUCTION -Mark Relchlin 1B06 Marine Dr NE,Marysvllle,WA 98271 206-510-2548 <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Address Ciiy State/Zip Pfiona <br /> Seahurst Electric 2915 Chestnut St Everett WA/98201 425-258-1882 <br /> Electrical Contractor Mail Address Clty State/Zip Phone <br /> SEAHUE1099QN _ 18763 _ _ . _ _ <br /> State License Number(required) City of Everett Business License Nurrtber(required) <br /> Commercial a�000.00 <br /> Proposed Use af Building Contract Price of Work <br /> Mike Bergman 425-359-9363 <br /> mbergman@seahurst.com <br /> 5quare Footage(If residential new�onstruction,remodel or addi6nn) Contact PersonlContact Number/Email <br /> Number of devices(If low vo{tage) <br /> DescNption of Work to Be Done: �NSTALL 2000AMP 480VOLT SERVICE <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 31Q5 ���� �� <br /> 1 hereby certify that I have read and examined this application and know the same to be true and ' <br /> correct. All provisions of(aws and ordinances goveming this fype of work will be completed <br /> whether speciFed herein or not. The granting of a permit does nof presume to give auihority to PERMIT# <br /> violate or cance!the pravisions of any other state or local law regulating construcfion or the � ��� <br /> perlormance of construction. That 1 am aufhorized 6y the owner of this prnperty to perform the �, �ZZ <br /> work tor which application is made and I comply with fhe State Contractors Law 1 B.27 RCW and �� <br /> 296.2�0 WAC. r"' <br /> i - ' <br /> � %� <br /> ignat e �ale <br /> REVfSED 08/062010 <br />